PwC Strategic Transformation Solving the Most Complex Problems of Providers and Delivery Systems

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1 PwC Strategic Transformation Solving the Most Complex Problems of Providers and Delivery Systems

2 Today, providers and delivery systems face challenges that are different from those faced just five years ago. PwC predicted many of the changes that have recently come to fruition and the pace of change continues to rapidly accelerate. More than ever before, you need to address competitive pressures, advances in medicine and technology as well as increasing expectations from consumers and purchasers. PwC has a dedicated team focused on Strategic Transformation. The Strategic Transformation team is made up of clinicians, strategy, operations and technology professionals who came to us from the health care industry. Together, they bring unmatched depth in expertise and deliver highly integrated solutions that enable our clients to achieve sustained growth and performance excellence. In this changing landscape, where can you turn for sound advice, strategy and practical solutions? PwC can help you confidently find your way, grow your business and manage risk. We ve helped create many of the innovations that are transforming health care today. You ll find us in some of the best hospitals in the world, working to solve their toughest problems. Transforming your business from strategy through execution We partner with you to transform your business, beginning with strategy formulation through execution. You can expect a fact-based, collaborative and personalized approach. We ll work with you to implement practical solutions customized to address your most complex problems. You won t have to settle for strategies that never see the light of day or implementations that break every timeline and budget. We stake our reputation and our fees on our ability to identify and realize opportunities for growth and efficiency, from end to end a claim no one else can honor. Being a strategy through execution firm means delivering both better strategy and better execution from pragmatic recommendations to design and implementation that advances your overall goal and mission. A seamless, end-to-end experience Clients tell us that they value our unmatched breadth of experience, which benefits you in these key ways: The team you meet has worked together many times and will be the team that does the work. There are no hand offs at the partner level, so you experience continuity in the intellectual and delivery relationship. Your PwC team includes physicians, nurses and allied health professionals all with real-world experience leading organizations across the nation. Where will you find PwC? PwC provides services to: All 15 hospitals listed in the All 9 health insurance 15 U.S. News & World Report 9 companies in the Fortune of Honor Roll of Best Hospitals 1 the 8 6 of the 8 hospitals in the Fortune PwC Strategic Transformation

3 PwC Capabilities Address Your Priorities What are your priorities? Maybe you re looking to transform part or all of your organization, be more competitive, serve your mission or grow. At PwC, we have designed our capabilities around your priorities. PwC helps payers, providers and new entrant companies from strategic planning to securing company buy-in, to executing and delivering on results. Grow business, increase revenue Provide great patient experience & quality care Manage costs Mitigate risk Manage population health and big data Strategy Fit for Growth SM Value-Based Care & Population Health Healthcare Tech Leverage technology and leap ahead Providers Want to Know How much scale do we need to survive? How can we take out 8-12%+ of cost or operate at the top quartile of our peers? We ve taken cost out before, but we are seeing slippage. How do we drive sustainable change? Our EMR install is off track and over budget. What should we do? How do we build capabilities to take risk without sacrificing near-term revenue? We aren t growing how do we change that? How do we ensure the technology we ve invested in actually achieves the ROI we promised our board? Our payers want a new relationship. What should we do? 10 of the of the 15 Truven Health Analytics top Major Teaching Hospitals 3 All of Becker s 17 Largest 17 Non-Profit Hospital Systems 9 4 of the 11 9 of Becker s 11 Largest For-Profit Hospital Systems 4 Solving the Most Complex Problems of Providers and Delivery Systems 3

4 Strategy Fit for Growth Value-Based Care & Population Health Healthcare Tech PwC Strategic Transformation offers industry expertise across four capabilities 4 PwC Strategic Transformation

5 DISTINCT & SUSTAINABLE MARKET POSITION COHERENT PORTFOLIO OF ASSETS & CAPABILITIES ROADMAP FOR GROWTH, INNOVATION AND TRANSFORMATION Strategy Hospitals and health systems are under unprecedented pressure to deliver greater value to consumers, communities, payers, physicians, staff and donors. The only way to survive and thrive under this pressure is to have a focused and coherent strategy. Such a strategy creates alignment between mission, market positioning, service line portfolio, network footprint, and physician enterprise so the impact of every dollar and hour spent is maximized. PwC has a powerful strategy arm called Strategy&. Our Strategy& team has been at the forefront of industry innovations such as retail, bundled and digital care. We continue to help the best health systems in the world make future-defining choices and discover new opportunities for growth. CLINICAL & ADMINISTRATIVE CAPABILITY-BASED COST TRANSFORMATION OPERATING MODEL DESIGN & ORGANIZATIONAL ALIGNMENT CULTURE TRANSFORMATION & SUSTAINABILITY Fit for Growth We help you respond to changing market conditions, increase your competitiveness and position your organization for growth. With new reimbursement models, margin squeeze, technology investments and evolving regulations, PwC can help you strategize to not only improve revenue and margins but get ready to grow in a new health care world. From enterprise strategy to organizational design to margin enhancement, we leverage our experience and talent so you can achieve operational excellence and take advantage of the market. Our cultural change and coaching approach engages your staff and empowers your leaders to sustain this performance over time. Solving the Most Complex Problems of Providers and Delivery Systems 5

6 POPULATION HEALTH STRATEGY ACO MODELS NETWORK STRATEGY Value-Based Care & Population Health With the shift from volume to value-based care, innovative business models are essential to win in the marketplace. You need capabilities to differentiate and develop a compelling value proposition. PwC helps you transition and transform to address health and wellness for an overall population across the care continuum. We extend your team with our expert strategists as well as clinicians and physicians. CLINICAL INFORMATION SYSTEMS ANALYTICS INFORMATION MANAGEMENT Healthcare Tech It s likely that you ve only scratched the surface in terms of optimizing technology and analytics. Every growth strategy requires technology at most every turn. As a result, you may have gaps connecting systems or need new technology altogether. Our custom approach helps you execute the best solution at any point in your system, whether it s implementing integrated software, launching a new electronic health records system or ensuring your information is private and safe. We can identify areas for performance improvement through clinical information systems, analytics and information management. 6 PwC Strategic Transformation

7 Market-leading analysis In the process of helping you achieve your goals, we have developed proprietary market simulation technology tools to enhance the value of our analysis for you Strategic Thinking and Research (STAR) is an online tool that allows us to assess your competitive positioning and discover opportunities for your organic and inorganic growth in real time. It uses simulations across multiple locations, regional and national peer groups. Clinical Analytics for Realizing Efficiencies (CARE) is an online tool designed to dig deeper into target areas to identify potential opportunities for you to achieve cost reduction, standardization and/or regionalization of services. Risk and Intervention Scoring for Clinical Care (RISCC) is an online tool that helps describe the health risks of a population and predict the likelihood of an individual patient s response to specific clinical interventions. Partner with PwC Strategic Transformation on your most important issues and drive tangible change. For further information, please contact: PwC Strategic Transformation team us at STTR@us.pwc.com Call us at Solving the Most Complex Problems of Providers and Delivery Systems 7

8 PwC Strategic Transformation Solving Your Complex Business Problems From strategy to execution, here are some of the services PwC can offer: (If you have a need that is not listed, please call us as we customize our services to your needs.) Strategy Fit for Growth Value-Based Care & Population Health Healthcare Tech Enterprise Planning Growth Strategy Payer Strategy Clinical Research Strategy Portfolio/Network Strategy Inorganic Growth Strategy (M&A, PMI) Innovation, diversification and commercialization Business Unit Strategy (e.g., service line strategy, ambulatory strategy, physician strategy, postacute strategy) Identifying and Building Differentiating Capabilities (e.g., customer strategy) Organizational Design Operating Model Assessment and Alignment Management Spans and Layers Analysis Enterprise Margin Alignment & Enhancement (including Post-Merger Integration) Administrative and Support Services Strategic Cost Alignment Workforce Strategic Cost Alignment Workforce Management Program Optimization Productivity Benchmarking Staffing Deployment and Optimization Clinical Performance Excellence Clinical Productivity Acute Care Throughput Optimization Service Line Planning and Optimization Technology Enabled Care Clinical Workflow Redesign Quality & Safety Physician Network Operations Network Strategy Operating Model (Strategy, Planning and Optimization) Operational Efficiency Physician Productivity Licensure & Accreditation Strategy and Support (AMC) Network Design/ Partnerships Product Design (e.g., ACO, bundles, etc.) Population Health Management Strategy Capabilities Operations Core Information Systems Vendor Selection Implementation PM/PMO QA/Risk Assurance Optimization and Operating Model Effectiveness Analytics & Information Management Strategy Data Governance Operating Models Next Generation Technology-Strategy & Enablement Digital Health (including patient/ consumer strategy) Telehealth Internet of Things Integration Fit for Growth is a registered service mark of PwC Strategy& LLC in the United States. References 1. US News and World Report, July FORTUNE, June Truven Health Analytics, April Becker s Hospital Review, June 2015 This content is for general information purposes only, and should not be used as a substitute for consultation with professional advisors PwC. All rights reserved. PwC refers to the US member firm or one of its subsidiaries or affiliates, and may sometimes refer to the PwC network. Each member firm is a separate legal entity. Please see for further details.